Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Department of Radiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Vasc Endovascular Surg. 2024 Feb;58(2):230-234. doi: 10.1177/15385744231198944. Epub 2023 Aug 30.
An otherwise healthy 9-month-old infant was treated for a true aneurysm of the proximal brachial artery. The swelling was first noted at seven months of age. An ultrasound scan showed a 2 cm × 2 cm aneurysm of the left brachial artery at the level of the mid-upper arm. Whole-body magnetic resonance angiography (MRA) confirmed this was a true aneurysm of the brachial artery; there was good distal runoff and no other aneurysms elsewhere. Vasculitis screen was negative. Surgical excision of the aneurysm and reconstruction of the brachial artery was performed with a reversed cephalic vein graft. The patient made an uneventful recovery and was discharged home. We present an overview of the workup report and emphasise that a multi-disciplinary team approach is imperative for assessing and managing this rare condition.
一位看似健康的 9 个月大婴儿因肱动脉近端真性动脉瘤接受治疗。肿胀最初在 7 个月大时被发现。超声扫描显示左上臂中段的左侧肱动脉有一个 2cm×2cm 的动脉瘤。全身磁共振血管造影（MRA）证实这是肱动脉的真性动脉瘤；远端有良好的流出道，其他部位没有动脉瘤。血管炎筛查为阴性。采用头静脉逆行移植物切除动脉瘤并重建肱动脉。患者恢复顺利，出院回家。我们对检查报告进行了概述，并强调多学科团队方法对于评估和治疗这种罕见疾病至关重要。
